Provider Demographics
NPI:1194006486
Name:CATRON, KENDRA RACHELLE (DC)
Entity Type:Individual
Prefix:
First Name:KENDRA
Middle Name:RACHELLE
Last Name:CATRON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:470 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:KY
Mailing Address - Zip Code:42633-1532
Mailing Address - Country:US
Mailing Address - Phone:606-340-1784
Mailing Address - Fax:888-878-5670
Practice Address - Street 1:470 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:KY
Practice Address - Zip Code:42633-1532
Practice Address - Country:US
Practice Address - Phone:606-340-1784
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-31
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5306111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor